Penis pain - prostatitis?

Keify Community Member February 23, 2009
  • Penis pain! (But not STD) I visited my GP 2 months ago to check out a small dark red nodule on the tip of my glans penis in view of a recent ache in that region. I was supposedly referred to a dermitologist who diagnosed a slightly raised vein and immediately performed 'minor surgery' on me to remove it. Ever since I have been in more or less permanent excrutiating pain (also with a permanently flaccid penis) which the NHS hospital urologist says has nothing to do with the surgery (just a coincidence!?) and that the impotence is just psychological in reaction to the pain. A subsequent ultrasound scan showed up some constricted blood vessels which the urology doctor initially said was the cause of the pain (which does feel like my penis head is being strangled, and the base is going a dark purple colour which the urologist seems to think is perfectly normal!), but the urology consultant overuled him and denied this. Consequently the consultant has proposed my going back to my GP for referal to a pain specialist (just pain management?) but has also suggested a biopsy on the prostate, despite my having been told previously that I had no prostate problems. I have had a urine check and rectal examination and my prostate is a little large (I an 66) but firm. My PSA is low (a recent GP blood test was only 1.4) and an abdomen/pelvis scan and a cystoscopy revealed nothing. But I wonder if it could be prostatitis, perhaps non-bacterial (I have read that prostatitis can cause glans pain, and I have always experienced frequency of urination), which the doctor only seemed to consider when I asked about it. But the urology consultant has put me off this by saying that a biopsy could make the condition and pain much worse (I am also on warfarin) and may not reveal anything or help with a cure, but that it is up to me! I know as well that there could be possible risk of side effects such as scarring of prostate tissue, bleeding and infection, and anyway non-bacterial prostatitis may not be treatable. And if bacterial prostatitis, I do not know why antibiotics cannot be prescribed in any event as a precaution without having to risk a biopsy. It is over 2 months now since the surgery on my glans and I am an daily severe pain and am at my wits end and do not know what to do, especially about the biopsy in view of what the urology consultant said and the apparent risks. If I do not have the biopsy the urology department will simply discharge me back to my GP since they say that my case is unique(!) and that there is nothing else they can do! But I am still wondering why the consultant has chosen to ignore the scan results, so I think I will e-mail him, although do not suppose he will reply with anything helpful. I just wish I had not gone to my GP in the first place, but we are supposed to get such things checked out, aren't we?

4 Comments
  • ron
    ron
    Feb. 26, 2009

    Hi Keify  sometimes have the pain uro dr. put me on uroxatral which helps some but not a cure.You might try another dr. to get a second opion.Good luck

    • Anonymous
      Denis
      Jun. 09, 2009

      Hello

      It is not a simple problem. You may visit  http://chronic-prostatitis.org to find out more

      about prostatitis.

      Be well

    • Anonymous
      Keith Webb
      Jun. 09, 2009
      H Denis, I think I have already visited the site although will have another look. I have visited a number of websites to try and understand it all but it does not seem that straightforward. Regards, Keify
    • Anonymous
      Keify
      Jun. 09, 2009

      Thanks Ron.

       

      I now finally have a referral to a urologist at another hospital (I think they just wanted to be shot of me) but it has taken over 3 months to achieve (appointment next month) and another month (still waiting) for referral to a pain specialist. In the meantime pain killers are not helping, although I sometimes (without pain killers) feel...

      RHMLucky777

      Read More

      Thanks Ron.

       

      I now finally have a referral to a urologist at another hospital (I think they just wanted to be shot of me) but it has taken over 3 months to achieve (appointment next month) and another month (still waiting) for referral to a pain specialist. In the meantime pain killers are not helping, although I sometimes (without pain killers) feel a little better. But I'm still not clear whether (as told me by the existing urologist) prostatitis cannot be detected without a biopsy, which he said in any event may not help and could make matters worse, so I have not opted for it. I don't suppose alpha-blockers (or other treatments) will be prescribed unless and until prostatitis is actually diagnosed.

       

      Cheers,   Keify